CHAD J JOHNSON (DO) – Sports Medicine (Family Medicine) Physician, NPI 1871881052
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
51 SPORTS MEDICINE in ID
Provider Addresses for CHAD J JOHNSON (DO)
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 706-8526
Type: Mailing
738 N. COLLEGE RD.
SUITE A
TWIN FALLS, ID 83301
Phone: (208) 814-5075
Fax: (208) 814-5074
Type: Location
1411 FALLS AVE E STE 1301
TWIN FALLS, ID 833013467
Phone: (208) 735-8585
Fax: (208) 933-2001
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $271.
Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Sonex Health, Inc. ($106).
Total Amount
$271
General + Research + Ownership
Payments
9
Total payment records
General Amount
$271
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150825003434 | I | Sports Medicine | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 351 | 186 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 94 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 37 | $0 |
| 20604 | Aspiration and/or injection of fluid from small joint using ultrasound guidance | 46 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 37 | $0 |
Insurance plans in this area (ZIP 83712)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | ID | 20610 | Aspiration and/or injection of large joint or joint capsule | 74 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID |
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